EA184761 - Building - Single Fam - Issued Date 07/07/2023PERMIT
City of Eagan ®®®, Permit Type: Building
3830 Pilot Knob Rd °e® ®®®,A Apoh. AL IL 0 Permit Number: EA184761
Ar' U Am N
Eagan, MN 55122 ®® ®®®®
(651) 675-5675 111111111111
www.cityofeagan.com * E R 1 8 4 7 6 1
Date Issued: 7/7/2023
Site Address: 1695 Brant Cir
Lot: 25 Block: 1 Addition: Mallard Park 4th
PID:1047253-01-250
Use: * 1 0— 4 7 2 S 3— 0 1— 2 S 0*
Description:
Sub Type: Single Fam Construction Type: V -B
Work Type: Alteration
Description: kitchen and bathroom remodel
Census Code: 434 - Residential Additions, Alterations Occupancy: IRC -1
Zoning: R-1
Square Feet: 0
Comments: Improvements to the home may require smoke detectors in all bedrooms.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary: BL - Base Fee $298.65 0801.4085
Valuation: 15,000.00 BL - Plan Review 65% $194.12 0720.4222
Surcharge - Based on Valuation $7.50 9001.2195
Total: $500.27
Contractor: - Applicant - Owner:
Revival Development Inc Michael W & Jana D Stern
5025 Oliver Ave S 1695 Brant Cir
Minneapolis MN 55419 Eagan MN 55122
(612) 286-3162
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature ssued B .Signature
s �e •
,e
EAG
•®•m ®®mss
3830 PILOT KNOB ROAD I EAGAN, MN 55122-11
(651) 675-5675 1 FAX: (651) 675-5694
buRdinginsoelctions@ggyofeagan.com
----------------------i
For Office Use
Building Permit
I
I I
S&W Permit #.
I �
I
Permit Fee. I
I �
b121�2�
I Date IRved: I
I I
I I
Date Issued: I
---------------------i
RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ?.ca 2 Site Address: 16q< Unit #:
Applicant is: ❑ Owrner JM Contractor
I
j Name: WV -E' 4- J&VA -5TMiI
kHomeowner' Z
A Address: 6 iJ ! zma C.l (2LLLf City: t�ftfl-)J
State: Z Phone: &Q`01- 1- 181 Email: iVi iCetffi�2. • S 1G�v-�J LPL ��^
-nafa)--ldocL ILC ult-e- Z w/ w4%S "SRmLr 141�t 4L
of wrolic i�M.dt►ttih rSAT4F I �[ u SrrTI�nXnl7" lG�fu{-i�u�'i'T�
Type ofConstruction . 00O —i Md I Icy rd ��
Work
Type of building: 1z Single Family ❑ Townhome, of units ❑ Twin Home
Company: 912rV LVA -i— f) M6"?M6Ai 1 , j niL Contact -JIM KOOnriz.
Bullding Address:O < D(.6 vcYt,
Contractor
State: VAM Zip: ��q 19 Phone: (I l U& L Email: 120 0Vft4pl%0 d 6&14"7 L
p, License soy g? -q Expin3tion Date: 3/2 I / z4 — —
Sewer $ Company: Contact
Water
Contractor Address: City:
Required for State: Zip: Phone: Email:
new c onshuclion
r
License#: Expiration Date:
1 understand that Plumbing, Mechanical, and Fire Suppression work require separate applications.
NOTE: Plans and supporting documents that you submit are considered to be public Information. Portions of the
Information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they
we trade secrets.
CALL BEFORE YOU DIG. Contact Gopher State One Call at (651) 454-11002 or www.conherstateorwall.ora for protection against underground utility
damage. Contact Gopher State One Cap 48 hours before you intend to dig to receive lutes of underground uh om
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and odes of the City of
Eagan; that I understand this is not a permit, but only an application for a pemrmIL and work is not to start without a permit; that the work wrfl be in
accordance with the approved pian in the care of work which requires a review and approval of plans.
x / L/ kzvf
Applicant's Printed Name Appll nt's Sig
SUB TYPES
✓Single Family
01 of _ Plex
Deck
WORK TYPES
_
New,
Addition
./ Alteration
Replace
C1WC I E SSI �JNt.,V,
Site Address: � � awn f CA P_VI-., Permit #: a
Fireplace
Foundation
Garage
_ Repair
_ Fire Repair
_ Water Damage
Egress Window
Calculated Valuation % Oc�o
Plan Review 025%)0100%
Census Code
# of Units
# of Buildings
Type of Construction Via
Lower Level
_ Porch
Pool
Siding
_ Reroof
_ Windows
_ Solar
Retaining Wall
Move Building
Demolish Building*
*Demolition of entire building - gime PCA
handout to applicant
Occupancy 1*gC_ I MCES System
Code Edition MMAZc_,Apo SAC Units
Zoning 2 - ( City Water
Stories Booster Pump
Square Feet PRV
Fire Suppression Required
Separate Stonnwater Management Permit Required
REQUIRED INSPECTIONS
Footings: New Addition Deck
Foundation: Before Bac fill Poured Wall
Framing: 1 Hour Residential Alteration
Braced Wall Framing/Blocking
Braced Wall Sheathing (prior to house wrap)
Interior Braced Wall Panel(s)
Firewalls
Insulation
Radon Control
Drain Tile
Grading
Meter Size:
Siding: _Stucco Lath _Stone Lath _Brick
Roof: _Ice $ Water _Final
Erosion Control
Pool: _Footings Air/Gas Tests _Final
Retaining Wall: _Footings _Backfill _Final
Fire Suppression: _Rough In _Final
.✓ Windows
Other.
Final/No C.O. Required
FiTWIC.O. Required
Reviewed By. �o _ , Building Inspector
FEES
Calculated Valuation
Base Fee
Plan Review
State Surcharge
Met Council SAC
City SAC
Treatment Plant
Water Supply S Storage
SB&W Permit & Surcharge
Meter
Radio Read
Other.
TOTAL 0
Ps , 000
'� I ���Ma.t�•�
3o.'ilrue«../C�ose'f rew.e& t
�45� ivka�� k. eI�PAe-I-ie
&,:I -k, Svhd Ott- (c j� A
PfTare-
�I:a;,,� �oc-